CHANGING MODELS OF CARE

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• CHANGING MODELS OF CARE
• Tools towards best practice for consumers and
  professionals in the paediatric disability and
  health sectors
• Presented by Fran Tilley
• Therapy Focus Inc

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• Therapy Focus Inc
• Not -for- profit community therapy and
  professional services provider in WA
• Provide a range of therapy and professional
  services to children
• Therapy
• Training
• Professional consultancy

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• Research Questions
• How were the models of service delivery used by
  allied health practitioners (AHPs) experienced
  by families?
• What knowledge and skills did families and AHPs
  require to deliver the most effective services
  within existing resources?

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• Models of Service Delivery
• A continuum of care models based on the nature
  of the relationship between families and
  professionals is identified in the literature

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• Professionally Controlled to Family Controlled
• Source Dunst, Johanson, Trivette and Hamby(1990)

Professionally Centered
Family Allied
Family Focused
Family Centered
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• Family Centered Practice
• Families and professionals share responsibility
  and work collaboratively
• Practices strengthen family functioning within
  the community
• Practices are individualised and flexible
• Practices are strengths and assets based
• Source Harbin et al (2000)

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• Challenges with Family
• Centered Practice
• Lack of training
• Fear of offending or alienating families
• Lack of knowledge of resources within the
  community
• Belief that there are no existing resources in
  the community to meet family needs
• Limitations in funding compromising the
  organisations ability to provide best practice
  services
• Families experiences and expectations

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• Research Design
• Qualitative research design
• 5 organisations in Perth participated
• Information collected through interviews with
  families and service providers
• Review of organisational mission and culture.

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• Research Findings
• Trends in organisations
• Trends in Allied Health Professionals
• Families perceptions and experiences

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• Families and Allied Health Professionals Beliefs
  About Effective Therapy Services
• Working together in partnership
• Sharing information, knowledge and expertise
• Respecting that each family has unique and
  changing needs
• Building on the strengths of each child and
  family
• Coordinating services to meet the needs of each
  child and family

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• Implications for Service Providers
• The study has highlighted the intrinsic beliefs
  in the principles of family centered practice.
• AHPs had limited understanding of family
  centered practice and many expressed limited
  knowledge of how to practically apply family
  centered practice
• The issues raised internationally in relation to
  the barriers to implementation were consistent
  with the WA research findings

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• Fitting the Pieces Together
• A handbook for families and therapists working
  with children
• A reference for families and therapists
• To facilitate workshops for both families and
  allied health professionals
• To orientate and train new therapists
• To welcome new families to a service
• To provide content ideas for seminars
• To assist with professional performance
  appraisals
• To guide service development and quality
  improvement within organisations